- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,772.20 / $22,337.60 / $29,164.90
| Facility | | $10,772.20 | $22,337.60 | $29,164.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $20,135.38 / $54,624.12
| Facility | | $5,840.42 | $20,135.38 | $54,624.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,621.51 / $20,869.93 / $31,534.73
| Facility | | $12,621.51 | $20,869.93 | $31,534.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,637.47 / $29,637.47 / $29,637.47
| Facility | | $29,637.47 | $29,637.47 | $29,637.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,185.13 / $21,024.59 / $32,466.90
| Facility | | $18,185.13 | $21,024.59 | $32,466.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $20,135.38 / $54,624.12
| Facility | | $5,840.42 | $20,135.38 | $54,624.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $15,864.02 / $42,689.23
| Facility | | $5,840.42 | $15,864.02 | $42,689.23 |